Disposition

• Per Amal Mattu (EMRAP January 2021)
  • Canadian Syncope Risk Score recommended!
  • Validated in JAMA March 2020 study: Multicenter Emergency Department Validation of the Canadian Syncope Risk Score
  • Available on MDCALC
  • Per Mattu:
    • “Patients with very low to low risk (-3 to 0 points) can be discharged home with a low event rate
    • Patients with intermediate risk (1-3 points) have an 8% risk of bad outcome at 30 days (0.1% risk of death)Shared decision making is appropriate here
    • Patients with higher risk (> 4 points) probably should be admitted in consideration of their high rate of bad outcomes, despite the low diagnostic yield.”